Medicalization of Exercise Through Vigilance, Productivity, and Self-Care: A Secondary Data Analysis of Qualitative Interviews Among Those With Multiple Sclerosis.

IF 1.7 3区医学 Q2 REHABILITATION

Adapted Physical Activity Quarterly Pub Date : 2022-04-26 DOI:10.1123/apaq.2021-0200

Brynn Adamson, M. Adamson, D. Kinnett-Hopkins, R. Motl

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引用次数: 2

Abstract

Exercise is becoming more integrated into the management of multiple sclerosis (MS) and is promoted to manage impairments and symptoms. Whereas extensive research outlines factors impacting participation, less is known regarding how medicalized exercise promotion might impact views of exercise and self. We conducted a secondary data analysis to understand how medicalized exercise-promotion paradigms impact the meaning and roles of exercise among those with MS. Twenty-two interviews were selected for reanalysis with an interpretative phenomenological analysis methodology and a critical disability studies lens. Three themes were identified: Constant Vigilance (worry about exercise), Productivity and Social Engagement (exercise to feel productive, engage socially, and enhance self-worth), and Exercise as Medicine/Self-Care (exercise to manage MS, relax, improve mental well-being, prevent/reverse disability, and stay healthy). This research underscores that exercise occupies many contradictory roles reflecting a medicalized exercise-promotion paradigm for those with MS, and this should inform exercise promotion practices.

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通过警惕性、生产力和自我保健的运动医学化:对多发性硬化症患者定性访谈的二次数据分析。

运动正越来越多地融入到多发性硬化症(MS)的治疗中，并被推广用于治疗损伤和症状。尽管广泛的研究概述了影响参与的因素，但对于医疗化的运动促进如何影响运动和自我的观点，人们知之甚少。我们进行了二次数据分析，以了解医学化的运动促进范式如何影响ms患者运动的意义和作用，我们选择了22个访谈，用解释性现象学分析方法和批判性残疾研究的视角进行了重新分析。确定了三个主题:持续警惕(担心锻炼)，生产力和社会参与(锻炼以感到生产力，参与社交并增强自我价值)，以及锻炼作为医学/自我保健(锻炼以管理MS，放松，改善心理健康，预防/逆转残疾和保持健康)。这项研究强调，运动具有许多相互矛盾的作用，反映了MS患者医学化的运动促进范式，这应该为运动促进实践提供信息。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Adapted Physical Activity Quarterly 医学-康复医学

CiteScore

3.00

自引率

10.50%

发文量

审稿时长

>12 weeks

期刊介绍： APAQ is an international, peer-reviewed, multidisciplinary journal designed to stimulate and communicate scholarly inquiry relating to physical activity that is adapted in order to enable and enhance performance and participation in people with disability. Physical activity implies fine, gross, functional, and interpretive movement including physical education, recreation, exercise, sport, and dance. The focus of adaptation may be the activity or task that is to be performed, environment and facilities, equipment, instructional methodology, and/or rules governing the performance setting. Among the populations considered are persons with motor, intellectual, sensory, and mental or other disabilities across the life span. Disciplines from which scholarship to this aim may originate include, but are not limited to, physical education, teacher preparation, human development, motor behavior and learning, biomechanics, exercise and sport physiology, and exercise and sport psychology. Scientific inquiry may originate from quantitative or qualitative inquiry, as well as from multimethod designs.